Cat: So, for clarity, I’m one of thirteen people co-habitating in this brain. There’s a lot of stigma associated with anything but a monolithic consciousness, but it’s really undeserved. Just having someone else along for the ride doesn’t mean you’re going to lose your grip on reality or anything of the sort.

Cat: Heck, it doesn’t even take trauma to pluralize; I’m a mental construct that Just made on purpose out of loneliness. And subsequently fell in love with.

Just: incandescent blush

Cat: There are some mental disorders involving plurality, with DID being the archetypal example. However, in those cases the actual problems aren’t the extra people; memory barriers, troublesome internal communications, and involuntary switches are far more problematic, most of the time.

Cat: As for persecutors? The interpersonal conflicts with them can be resolved, one way or another. A lot of the time they’re just hurting and don’t know healthy ways to deal with it.

Cat: So… yeah I don’t really have any good ideas for how to end this post.

  • Uriel-238@lemmy.fmhy.ml
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    1 year ago

    So a couple of notes from the clinical end regarding split-personality / MPD, etc.

    Firstly, the current (DSM V) diagnosis is Disassociative Identity Disorder based on the controversial notion that all the individuals within a single mind are part of a whole. As with prior interpretations, this remains controversial but is the bleeding edge of psychological theory so far.

    Secondly, modern medical-model psychology depends on the standard of dysfunction to decide if a mental illness necessitates treatment. I think (not sure) its related to a study of patients who hear voices compared to patients who hear God (whether it’s actually God is irrelevant.) The latter group was happy to have that voice, and found it comforting while most of the former group were happy for medications that quieted or silenced the voices.

    That said, the psychiatric sector in the US (and I think the developed world) is required by law to get a patient’s consent for treatment or assess they are a danger to themselves or others by a psychiatrist (in the case of involuntary committal) Yes, this is a power that is sometimes abused, say when billionaires want their gay son to be less gay.

    Kids in the US have fewer rights and protections, largely because a parental signature can bypass direct consent, which is a problem when parents are not fully interested in the child’s autonomy and well-being, or is just credulous of medical professionals.

    But it means for the rest of us grownups, if you like the demons that possess your mind (or at least have come to terms with them), you don’t have to accept treatment to get them exorcised. Also, there are plenty of treatment-resistant diagnoses (👋major depression over here) that cannot be cured by normal psycho therapy, and the best we can hope for is management, so coming to terms with our personal demons.